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December 1942


Author Affiliations

From the Department of Surgery, Wayne University College of Medicine, and City of Detroit Receiving Hospital.

Arch Surg. 1942;45(6):935-944. doi:10.1001/archsurg.1942.01220060074005

Every surgeon occasionally finds it necessary to operate because of a diseased gallbladder when in his judgment something less than classic cholecystectomy is indicated. There are two types of patients in whose cases the decision to perform a less severe operation is important. These are: (1) persons whose general condition make the risk of cholecystectomy too great and (2) persons for whom removal of the gallbladder is hazardous because of the local lesion. In many clinics cholecystostomy is the operation performed in this group of patients; in others some form of partial cholecystectomy or cauterization is resorted to. Thorek1 advised excision of most of the free portion of the wall of the gallbladder and electrocoagulation of the part attached to the liver. During the years 1935 to 1940 we have used cauterization of the mucosa of the gallbladder with solutions of phenol and alcohol, the procedure often called chemical

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